INTESTINE Vol.24 No.3(2-7-2)

Theme Endoscopic balloon dilation for small bowel stricture in Crohn's disease
Title Crohn's disease with anastomotic stenosis 30 years after surgery: A case report
Publish Date 2020/08
Author Shinichi Katsuki Department of Medical Gastroenterology, Otaru-Ekisaikai Hospital
Author Rie Morita Department of Medical Gastroenterology, Otaru-Ekisaikai Hospital
Author Hajime Nakamura Department of Medical Gastroenterology, Otaru-Ekisaikai Hospital
Author Yuya Hirata Department of Medical Gastroenterology, Otaru-Ekisaikai Hospital
Author Yusuke Kanari Department of Medical Gastroenterology, Otaru-Ekisaikai Hospital
Author Yuya Komatsu Department of Medical Gastroenterology, Otaru-Ekisaikai Hospital
Author Kunihiro Takanashi Department of Medical Gastroenterology, Otaru-Ekisaikai Hospital
Author Tomonori Anbo Department of Medical Gastroenterology, Otaru-Ekisaikai Hospital
[ Summary ] A man in his 50s underwent right hemicolectomy for ileal perforation and peritonitis secondary to Crohn's disease, approximately 30 years prior to presentation. He currently presented with loose stools, abdominal pain, and increased frequency of bowel movements. Small bowel capsule endoscopy (CE) was performed after the administration of the patency capsule; however, the CE was not discharged within the battery operating time. Imaging revealed RTA and stenosis in the anastomotic area. Double-balloon endoscopy was performed using a calibrated small-caliber-tip transparent hood to evaluate the stenosis, and the site of stenosis was dilated endoscopically using a balloon dilator.
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